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1568070019
JOSE CARLOS VEGA
MIAMI, FL
NPI
1568070019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA27195)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
JOSE CARLOS VEGA PTA
5200 NE 2ND AVE
MIAMI, FL 33137-2706
Phone number: 057-518-6263
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Mailing Address
JOSE CARLOS VEGA PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-7214
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